<%@ page language="java" contentType="text/html; charset=UTF-8"
         pageEncoding="UTF-8" %>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
    <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
    <title>患者评价主页</title>
    <script type="text/javascript" src="js/jquery-3.1.1.min.js"></script>
    <script type="text/javascript" src="js/patientEval.js"></script>
    <style type="text/css">
    </style>

</head>
<body>
<div>
    <form action="patient/fillQuestions" id="evalForm">
        <div>文字说明。。。。。</div>
        <div>
            <table>
                <tr>
                    <td>就诊号:&nbsp;&nbsp;</td>
                    <td><input type="hidden" id="visitCode"  name="visitCode" style="width: 150px;"><input type="text" name="patientId" id="patientId" style="width: 150px;"></td>
                    <td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
                    <td>
                        <input type="button" value="开 始 填 写 " onclick="eval()"/>
                    </td>
                </tr>
                <tr>
                    <td>就诊科室:&nbsp;&nbsp;</td>
                    <td>
                        <input type="hidden" id="deptCode" name="deptCode">
                        <input type="text" id="deptName" name="deptName" style="width: 150px;background-color:gainsboro" readonly="readonly" >
                    </td>
                    <td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
                    <td>
                        <input type="button" value="提 交 问 卷 " onclick="submitData()"/>
                    </td>
                </tr>
            </table>
        </div>
        <hr>
        <div id="list">

        </div>
    </form>
</div>
</body>
</html>